Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090483   Estimate Number: 0010 , Final     Spec Year: 1999
Primary JP: 22669(04)   Residency: ARDMORE (07200)     Contract No: 510194
Date Created: 01/03/2011   Contractor FEI: 731269842     Account No: 432700

Project Number(s): BRO-STIM(430)CO
Contract Description: BRIDGE AND APPROACHES CO. RD. (NS-317.5): BEGIN 1.6 MILES SOUTH OF HENNEPIN, EXTEND NORTH OVER EIGHT MILE CREEK. PROJECT LENGTH = 0.188 MILES.
Primary County: MURRAY              
Name of Road: COUNTY ROAD NS-317.5              
Prime Contractor: D. M. DOZERS, INC.           Time Charged: 206.00
    766 S. TERRY AVE.           Time Allowed: 260.00
    BRADLEY , OK   73011           Percent Time: 79.23 %

  Paid To Date: $282,774.46 Payable This Statement: $2,422.73

CONTRACTOR AFFIDAVIT
STATE OF ___________________ )  
  )      
COUNTY OF __________________ )  
The undersigned contractor or duly authorized agent, of lawful age, being first duly sworn, on oath say that this claim is true and correct.
Affiant further states that the work, services or materials as shown by this claim have been completed or supplied in accordance with the plans, specifications, orders, requests and all other terms of the contract. Affiant further states that (s)he is duly authorized agent of the contractor for the purpose of certifying the facts pertaining to the giving of things of value to government personnel in order to procure the contract or obtain payment; that (s)he is fully aware of the facts and circumstances surrounding the making of the contract and has been personally and directly involved in the proceedings leading to the procurement of the contract and the filing of this claim; and, neither the contractor nor anyone subject to the contractor's direction or control has been paid, given or donated or agreed to pay, give or donate to any officer or employee of the State of Oklahoma any money or other thing of value, either directly or
indirectly, in procuring the contract or obtaining payment. The affiant further certifies that all laborers, mechanics, apprentices and trainees employed by him/her or by any subcontractor performing work under the contract on the project have been paid wages at rates not less than those required by the contract provisions, and that the work performed by each such laborer, mechanic, apprentice or trainee conformed to the classifications set forth in the contract or training program provisions applicable to the wage rate paid.
Affiant hereby agrees that Contractor will accept this estimate as full compensation for all money due Contractor by the Department of Transportation, and hereby relinquish all claims, either in contract or in tort, which have arisen or which might arise out of the construction of said project. That to the best of my knowledge and belief, all indebtedness for labor, materials, fuel, equipment, equipment rental, parts, supplies, insurance premiums, and claims for items not specifically mentioned, which are attributable to performance of the work on this project or which were incorporated therein in any manner, have been paid in full, and that there are not now any presently outstanding, unpaid claims for such indebtedness; that my position with the company is such, that if there were any such outstanding claims of the nature specified herein, I would ordinarily be aware of them.
Further affiant sayeth not.                                
D. M. DOZERS, INC.                                
 
_________________________________________________
Affiant Signature
 
_________________________________________________
Affiant Printed Name
                          PE Seal
_________________________________________________
Affiant Company Position
Subscribed and sworn to before me this ______ day of ____________, 20____
My Commission Number: ____________ My Commission Expires: ______________
   
_________________________________________________              
_________________________________________________
                    Professional Engineer Signature
              Oklahoma Department of Transportation
Corporate Seal
Notary Seal                  

Oklahoma Department of Transportation
Final Estimate Summary
Created:    01/03/2011
Contract ID: 090483   Estimate Number: 0010     Contract No: 510194
Residency: ARDMORE (07200)   Estimate Type: Final     Account No: 432700

Project Number(s): BRO-STIM(430)CO
Primary Job Piece No: 22669(04)
Contract Description: BRIDGE AND APPROACHES CO. RD. (NS-317.5): BEGIN 1.6 MILES SOUTH OF HENNEPIN, EXTEND NORTH OVER EIGHT MILE CREEK. PROJECT LENGTH = 0.188 MILES.
Primary County: MURRAY              
Name of Road: COUNTY ROAD NS-317.5              
Prime Contractor: D. M. DOZERS, INC.              
    766 S. TERRY AVE.              
    BRADLEY , OK   73011              
Surety Company: EMPLOYERS MUTUAL CASUALTY COMPANY              

Date Let: 07/23/2009 NTP Effective Date: 12/07/2009 Pay Period: 04/24/2010  TO  06/23/2010
Date Awarded: 08/03/2009 Date Work Began: 11/30/2009 Original Contract Time: 120
Date Contract Executed: 08/18/2009 Date Time Stopped: 06/23/2010 Current Time Charged: 206.00
Date NTP Issued: 08/20/2009 Completion Date: 06/23/2010 Current Time Allowed: 260.00
General Liability Expires: 01/01/2011 Workman's Comp Expires: 01/01/2011 Percent Time Used: 79.23 %
Specification Year: 1999        

Current Contract Amount: $282,774.46 Total to Date Prev to Date This Estimate
Bid Amount: $275,157.50 Participating: $282,774.46 $280,351.73 $2,422.73
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $0.00 Total Earnings: $282,774.46 $280,351.73 $2,422.73
Unearned Balance: $-7,616.96 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $282,774.46 $280,351.73 $2,422.73
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $282,774.46 $280,351.73 $2,422.73

Estimate Adjustment Detail

Contract ID: 090483   Estimate Number: 0010     Primary JP: 22669(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Adds additional quantity to Solid Slab Sodding Approved 04/23/2010 0.0 $10,061.67
002 FINAL CONTRACT ITEM QUANTITIES Approved 12/28/2010 0.0 $-2,444.71


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
22669(04) 0016 PC BR ITM FABS (AML) Stockpiled Material Adjustment 0007 $-45,465.05
22669(04) 0016 PC BR ITM FABS (AML) Stockpiled Material Initial Payment 0001 $45,465.05
Subtotals For Stockpile Payments $0.00


LIQUIDATED DAMAGES HISTORY
Adjustment Description Estimate Nbr Time Units Rate Adjustment Amount
No liquidated damages have been assessed on this contract.


CONTRACT ADJUSTMENTS HISTORY
Adjustment Description Estimate Nbr Adjustment Amount
No general contract adjustments have been created on this contract.
Subtotals For Contract Adjustments $0.00


LINE ITEM ADJUSTMENT HISTORY
Project Item Nbr Line Item Description Adjustment Type Estimate Nbr Adj Quantity Unit Price Adjusted Amount
22669(04) 0020 REINFORCING STEEL * Material Discrepancy Adjustments 0008 0.00 $0.00 $-5,195.00
22669(04) 0020 REINFORCING STEEL * Material Discrepancy Adjustments 0009 0.00 $0.00 $5,195.00
Subtotals For Line Item Adjustments $0.00
* = User applied Line Item Adjustments


MILESTONE ADJUSTMENTS
Milestone Number Milestone Description Time Allowed Time Used Rate Total
No milestones exist for this contract.

Line Item Detail

Contract ID: 090483   Estimate Number: 0010     Primary JP: 22669(04)



Line Item Number Item Description Item Number Units Bid Qty Current Quantity Quantity Paid This Est. Quantity Paid To Date Unit Price Amount Paid This Est. Amount Paid To Date
Fed/State Project Number:    BRO-STIM(430)CO Project:    22669(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201 0102 LSUM 1.000 1.000   1.000 $7,000.00 $0.00 $7,000.00
0002 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 1,096.000 1,096.000   1,096.000 $5.50 $0.00 $6,028.00
0003 UNCLASSIFIED BORROW 202(C) 0184 CY 3,189.000 3,189.000   3,189.000 $7.50 $0.00 $23,917.50
0004 TEMPORARY SILT FENCE 223 2801 LF 320.000 200.000   200.000 $3.00 $0.00 $600.00
0005 TEMPORARY SILT DIKE 227 0100 LF 180.000 0.000   0.000 $8.00 $0.00 $0.00
0006 SOLID SLAB SODDING 230(A) 2806 SY 1,750.000 5,103.890 0.002 5,103.890 $3.00 $0.01 $15,311.67
0007 VEGETATIVE MULCHING 233(A) 2817 AC 3.460 0.000   0.000 $400.00 $0.00 $0.00
0008 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 930.000 1,009.920 79.920 1,009.920 $16.00 $1,278.72 $16,158.72
0009 CLASS C CONCRETE 509(D) 0325 CY 10.000 0.000   0.000 $100.00 $0.00 $0.00
0010 58" X 36" R.C.PIPE ARCH CLASS A-III 613(B) 4500 LF 66.000 72.000 6.000 72.000 $200.00 $1,200.00 $14,400.00
0011 28" X 20" CORR. GALV. STEEL PIPE ARCH 613(D) 4528 LF 96.000 96.000   96.000 $19.00 $0.00 $1,824.00
0012 28" X 20" PREFAB. CULVERT END SECTION, ARCH 613(M) 4516 EA 6.000 6.000   6.000 $165.00 $0.00 $990.00
0013 58" X 36" PREFAB. CULVERT END SECTION, ARCH 613(M) 4546 EA 2.000 2.000   2.000 $1,265.00 $0.00 $2,530.00
Subtotals For Category     0100/ROADWAY    $2,478.73 $88,759.89
Fed/State Project Number:    BRO-STIM(430)CO Project:    22669(04) Category:    0200/BRIDGE
0014 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 71.200 71.200   71.200 $10.00 $0.00 $712.00
0015 UNCLASSIFIED BACKFILL 501(D) 6353 CY 130.800 130.800   130.800 $20.00 $0.00 $2,616.00
0016 PRESTRESSED CONCRETE DOUBLE TEE 503(B) 6144 LF 267.500 267.500   267.500 $200.00 $0.00 $53,500.00
0017 CONCRETE RAIL (TR1) 504(E) 1380 LF 175.000 175.000   175.000 $50.00 $0.00 $8,750.00
0018 CLASS AA CONCRETE 509(A) 1326 CY 38.000 38.000   38.000 $600.00 $0.00 $22,800.00
0019 CLASS A CONCRETE 509(B) 1328 CY 47.800 47.800   47.800 $600.00 $0.00 $28,680.00
0020 REINFORCING STEEL 511(A) 1332 LB 14,120.000 14,120.000   14,120.000 $0.80 $0.00 $11,296.00
0021 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 340.000 340.000   340.000 $25.00 $0.00 $8,500.00
0022 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 340.000 310.990   310.990 $15.00 $0.00 $4,664.85
0023 TYPE I-A PLAIN RIPRAP 601(A-1)1353 TON 500.000 494.010 -2.000 494.010 $28.00 $-56.00 $13,832.28
0024 TYPE I-A FILTER BLANKET 601(A-2)1355 TON 100.000 94.310   94.310 $24.00 $0.00 $2,263.44
0025 GUARD RAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 4.000 4.000   4.000 $2,150.00 $0.00 $8,600.00
0026 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $2,500.00 $0.00 $2,500.00
Subtotals For Category     0200/BRIDGE    $-56.00 $168,714.57
Fed/State Project Number:    BRO-STIM(430)CO Project:    22669(04) Category:    0600/STAKING
0027 STAKING 642 0098 LSUM 1.000 1.000   1.000 $3,800.00 $0.00 $3,800.00
Subtotals For Category     0600/STAKING    $0.00 $3,800.00
Fed/State Project Number:    BRO-STIM(430)CO Project:    22669(04) Category:    0640/CONSTRUCTION
0028 (SP)SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $3,000.00 $0.00 $3,000.00
0029 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $18,500.00 $0.00 $18,500.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $21,500.00
Subtotals For Project BRO-STIM(430)CO /22669(04) $2,422.73 $282,774.46